Midwest Divine Home Help Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MIDWEST DIVINE HOME HELP SERVICES, LLC

Doing business as

Midwest Divine Compassionate Care, LLC

Practice address

2715 Arbor Chase Dr NE
Grand Rapids, MI 49525-9451

Phone

(616) 318-3760

NPI assigned

Jul 18, 2024

Last updated

Jul 18, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jackson ByiringiroNPI 1417889064

Title

Manager and Chairman

Phone

(616) 318-3760

Specialties & licenses 12

Addresses

Other names 1

• Midwest Divine Compassionate Care, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jackson Byiringiro

  • Home Health Aide
  • Caledonia, MI
  • NPI 1417889064

  Multi-Specialty

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1942048319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6673 VANTAGE DR SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493169079",
            "telephone_number": "616-318-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 ARBOR CHASE DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259451",
            "telephone_number": "616-318-3760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6673 Vantage Dr SE",
            "address_purpose": "LOCATION",
            "city": "Caledonia",
            "state": "MI",
            "postal_code": "493169079",
            "country_code": "US",
            "telephone_number": "616-318-3760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST DIVINE HOME HELP SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-14",
        "status": "A",
        "authorized_official_last_name": "BYIRINGIRO",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "MANAGER AND CHAIRMAN",
        "authorized_official_telephone_number": "616-318-3760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Divine Compassionate Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.